To resolve the agastric syndrome after total gastrectomy, researchers have performed varoius alimentary tract reconstruction procedures for patients. Meanwhile, because of controversial standpoints fol-lowing the total gastrectomy, more than eighty methods were published in the world. The highlight is focused on the discussion of whether a reservoir with the duodenal passage of foodstuff significantly beneficial to the patient's clinical and nutritional status after total gastrectomy. In this article, we reviewed and evaluated the progress of digestive tract reconstruction procedures after total gastrectomy in order to obtain a optimal opera-tion approach.

OBJECTIVE To investigate the expression and their clinical significance of uPA (urokinase type plasminogen activator) and integrin?4 in papillary thyroid cancer. METHODS The levels of uPA and integrin?4 were determined by Immunohistochemistry technique (S-P method) in 36 specimens from patients with papillary thyroid cancer, 30 specimens from benign thyroid tumor and normal thyroid tissues adjacent to benign thyroid tumor. RESULTS The levels of uPA and integrin?4 in benign thyroid tumor were significantly higher than that in normal tissue adjacent to benign thyroid tumor (P